Date: 19 June 1952
Cert: 17276
Place of Death: County: Knott
City or Town: Pippapass, Ky.
Length of stay (in this place): All of life
Street address or location: Died at Home
Usual Residence of Deceased: State: Kentucky
County: Knott
City or Town: Pippapass Rural
If rural give precinct: On Caney Creek
Full Name: Green SLONE
Date of Death: 19 June 1952
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: 11 May 1888
Age: 64 years
Usual Occupation: Farming
Kind of Industry or business: Home farm
Birthplace: Raven Knott Co., Ky.
Father's Name: Adam SLONE
Mother's Maiden Name: Christena REYNOLDS
Was deceased ever in armed forces: Yes, 1st World War
Social Security No.: (blank)
Informant: Austin SLONE
Disease/condition directly leading to death: Cancer of stomach
Interval between onset and death: (blank)
Due to: (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: (blank)
Accident, suicide, or homicide: (blank)
Place of injury: (blank)
City or Town, County, State: (blank)
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from 01 June 1952 to
19 June 1952, that I last saw the deceased alive on 15 June
1952, and
that death occurred at 11:45 a.m., from the causes and on the
date stated above.
Date signed: 15 August 1952
Address: Hindman, Ky.
Signature: M. F. Kelley
Burial, Cremation or Removal: Burial
Date: 21 June 1952
Name of Cemetery or Crematory: Slone Cemetery
Location: Pippapass, Knott, Ky.
Date received by local registrar: 15 August 1952
Registrar's Signature: Rose B. Craft
Funeral director & address: Relatives & Friends, Pippapass,
Ky.
Transcribed by Debbie Tamborski, 28 January 2011 |